首页|中药治疗结肠癌药理机制研究进展

中药治疗结肠癌药理机制研究进展

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结肠癌是一种高发、高病死率的疾病,现代医学化疗治疗结肠癌可在一定程度上控制患者病情,但其副作用明显,患者耐受性不佳,且随着治疗时间的延长,肿瘤细胞容易出现耐药性,而近年来中医药治疗结肠癌的优势逐渐体现,已经成为恶性肿瘤疾病重要的治疗手段.中药治疗结肠癌的抗肿瘤机制包括通过促进细胞形变及从线粒体途径、内质网途径干扰细胞周期促进肿瘤细胞凋亡、抑制其增殖,通过抑制血管新生作用和调节相关细胞因子、信号通路途径的表达而抑制肿瘤细胞侵袭和转移,通过调节机体特异性免疫、费特异性免疫及炎症—免疫信号通路、免疫相关细胞因子合成等提高免疫系统对肿瘤细胞杀伤作用,通过改善机体中抗肿瘤药物的药代动力学、抑制相关蛋白的表达、影响酶表达、抑制肿瘤干细胞功能等逆转肿瘤细胞对化疗药物的耐药性等,而现阶段,中药治疗结肠癌的相关研究主要集中于基础研究阶段,临床研究缺乏系统性的理论支撑,因此本研究通过对中药治疗结肠癌的药理机制进行综述,为中药治疗结肠癌提供参考和依据.
Research progress on pharmacological mechanisms of traditional Chinese medicine in treating colon cancer
Colon cancer is a kind of malignant tumor disease with high incidence and high mortality.Western medicine chemotherapy for colon cancer can control the disease of patients to a certain extent,but its side effects are obvious,and with the extension of treatment time,tumor cells are prone to drug resistance.In recent years,the advantages of traditional Chinese medicine in the treatment of colon cancer have been gradually manifested.It has become an important treatment for malignant tumor diseases.The anti-tumor mechanisms of traditional Chinese medicine in the treatment of colon cancer include promoting cell deformation and interfering with cell cycle through mitochondrial pathway and endoplasmic reticulum pathway,promoting tumor cell apoptosis and inhibiting proliferation,inhibiting tumor cell invasion and metastasis by inhibiting angiogenesis and regulating the expression of related cytokines and signaling pathways.Improve the immune system's killing effect on tumor cells by regulating the body's specific immunity,cost-specific immunity,inflammatory and immune signaling pathways,and immune-related cytokine synthesis.By improving the pharmacokinetics of anti-tumor drugs in the body,inhibiting the expression of related proteins,affecting the expression of enzymes,and inhibiting the function of tumor stem cells(CSCs),the resistance of tumor cells to chemotherapy drugs is reversed,etc.At present,the relevant studies on the treatment of colon cancer with traditional Chinese medicine mainly focus on the basic research stage,and clinical studies lack systematic theoretical support.Therefore,this study reviewed the pharmacological mechanism of traditional Chinese medicine in the treatment of colon cancer,and provided reference and basis for its treatment of colon cancer.

Colon cancertraditional Chinese medicinepharmacological mechanismcell apoptosissignal pathcytokinesdrug resistancechemotherapy

孙嘉玲、韩克起、方慧琪、张峻峰

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201907 上海市宝山区顾村镇菊泉新城社区卫生服务中心中医科

上海市宝山区罗店医院肿瘤科

上海交大附属第六人民医院中医科

结肠癌 中药 药理机制 细胞凋亡 信号通路 细胞因子 耐药 化疗

上海市宝山区科学技术委员会科技创新专项资金项目

20-E-52

2024

环球中医药
中华国际医学交流基金会

环球中医药

CSTPCD
影响因子:1.553
ISSN:1674-1749
年,卷(期):2024.17(2)
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